Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ANN MCLAUGHLIN MD
NPI 1568463867
Internal Medicine - Cardiovascular Disease in New York, NY

Active since August 09, 2005PECOS Enrolled
1190 5TH AVE, NEW YORK, NY 10029(212) 427-1540(212) 410-7196 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Oct 16, 2026 (2 updates tracked since 2026).

About Mary Ann Mclaughlin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN MCLAUGHLIN MD (NPI 1568463867) is an individual cardiovascular disease provider in New York, New York, licensed in New York (1923021) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1568463867
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMARY ANN MCLAUGHLINCredential: MD
Location Address1190 5TH AVENew York, NY 10029-6503
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504
Fax(212) 410-7196
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateAugust 9, 2005
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1568463867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 1923021
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1190 5TH AVE, New York, NY 10029

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 427-1540

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Ann Mclaughlin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183674427
PECOS Enrollment IDI20050125000704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Ann Mclaughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 261 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
740 services562 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
350 services264 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
318 services215 patients
Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
117 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
Physician Assistant
1190 5TH AVE
NEW YORK, NY 10029
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Mclaughlin's NPI number?

The NPI number for Mary Ann Mclaughlin is 1568463867. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Mary Ann Mclaughlin located?

Mary Ann Mclaughlin practices at 1190 5th Ave, New York, NY 10029. The listed phone number is (212) 427-1540.

What is Mary Ann Mclaughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mary Ann Mclaughlin enrolled in Medicare?

Yes. Mary Ann Mclaughlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Ann Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Mclaughlin reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Ann Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mary Ann Mclaughlin affiliated with any hospitals?

According to CMS data, Mary Ann Mclaughlin is affiliated with Mount Sinai Hospital, Nyu Langone Hospitals and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Mary Ann Mclaughlin was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.